:: Volume 5, Issue 2 (Military Caring Sciences 2018) ::
MCS 2018, 5(2): 104-111 Back to browse issues page
Organizational Factors Affecting on making of Drug Errors from the Viewpoint of Nursing Personnel Employed in Selected Military Hospitals in Tehran
Ahmadi. Y1 , Pishgooie. SAH 2, Sepandi. M3, Beheshtifar. M4, Doosi. H4
1- MSc Nursing in Medical-Surgical, Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing, Medical-Surgical Department.
2- Ph.D, in Nursing, Assistant Professor, Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing, Medical-Surgical Department.
3- PhD., Epidemiology & Biostatistics, Assistant Professor, Baqiyatallah University of Medical Sciences, Faculty of Health, Epidemiology & Biostatistics Department.
4- BSc Student in Nursing, Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing.
Abstract:   (2070 Views)
Introduction: Making an egregious mistake in every stage of drug prescription and distribution is definitely possible/ because the nurse of a shift can give more than 50 drugs to the patient.
Objective: This study aimed to investigate the factors affecting on drug mistakes from the viewpoint of nurses employed in selected military hospitals in Tehran in 2016.
Material and Methods: The present study was a descriptive analytical and temporal cross-sectional one performed in 2016; 256 nurses of eight selected military hospitals in Tehran participated in this study. The study was classified into three sections including demographic data, types of drug mistakes, factors affecting on drug mistakes based on the 5-level Likert scale. To test the hypotheses, Pearson’s correlation coefficient and one-way variance analysis were used and the results were analyzed using SPSS 22.
Results: The results showed a significant relationship between the «drug prescriptions (version)» in emerging drugs mistakes and the mean of shifts per month (r2 = 0.13, P = 0.03). Also, there was a significant difference between the recruited groups in terms of the frequency of drug mistakes (P = 0.01, f = 4.43).
Discussion and Conclusion: Hospital managers should make appropriate decisions on boosting nurses’ knowledge of medical errors to take useful steps for improving the safety of patients and staff.

 
Keywords: Drug Mistakes, Organizational Factors, Patient Dissatisfaction, Nurses.
Full-Text [PDF 451 kb]   (306 Downloads)    
Type of Study: Research | Subject: Special
Received: 2018/05/14 | Accepted: 2018/06/20
References
1. Suzeni A, Bagheri H, Poorheidari M. [Investigating the Factors Affecting the Occurrence of Drug Mistakes from the Viewpoints of Nurses in Imam Hossein Hospital Shahroud]. J Zand & Wellness. 2007;2(3).
2. S S H, H T, Nasabm S. [The Viewpoints of Nurses in the Emergency Department of Ahvaz Hospitals about the Causes of Drug Mistakes and Their Failure to Report]. J Nurs Care Res Center. 2012;25(79):72-83.
3. Johari H, Shamsuddin F, Idris N, Hussin A. Medication errors among nurses in government hospital. J Nurs Health Sci. 2013;1:18-23.
4. Jalalifar F. Process mining of medication, error recognition and contributory factor in creation of errors. Quart J Nurs Manage. 2016;4(4):67-81.
5. H Po RM, Yari, Hatami. . [A Study of Some Factors Affecting the Frequency of Medical Mistakes from Nurses' Viewpoints in Elam University Hospitals in 1394]. Quart J Nurs Education & Ethics. 2016;4(2).
6. Madadi Z. Nursing medication errors: causes and solutions (a review study). J Hospital. 2015;14(3):101-10.
7. Wakefield DS, Wakefield BJ, Uden-Holman T, Borders T, Blegen M, Vaughn T. Understanding why medication administration errors may not be reported. American J Med Quality. 1999;14(2):81-8.
8. R A HM. [Ranking of Causes of Drug Error from Nurses' Viewpoints in Educational Hospitals of Yazd University of Medical Sciences]. J Manage Strategies in Health System. 2017;2(4).
9. Stratton KM, Blegen MA, Pepper G, Vaughn T. Reporting of medication errors by pediatric nurses. J Pediatr Nurs. 2004;19(6):385-92. DOI: 10.1016/j.pedn.2004.11.007 PMID: 15637579 [DOI] [PubMed]
10. Rahimif SA, R B, A F. [Effective Factors in Drug Errors in Nurses working in Besat Hospital, Sanandaj]. J Faculty of Nurs, Midwifery and Paramed Sci of Kurdistan. 2014;1(3).
11. Souzani A, Bagheri H, Pourheydari M. Survey nurse’s view about factors affects medication errors in different care units of Imam Hossein hospital in Shahroud. 2007.
12. Nobakht Haghighi A, Zali M, Mahdavi M, Noroozi A. A study of the reasons of patient’s complaint from physicians in patients referred to Tehran medical council. J Med Counc Islam Repub Iran. 2000;4:295-303.
13. S A FM, Nikpay, Kian, Mehrz. Surveying patient safety standards based on standards of patient friendly hospitals in Rasht city medical schools. J Med Educat. 2013;4(1).
14. Abadi TH MN, M R, A K. . Factors related to drug errors in neonatal and neonatal intensive care units from nurses' point of view. J Nurs Care Res Center. 2012;25(80):65-74.
15. Heydari H, Kamran A, Pirzadeh A. Assessment oF Nurses’perceived Barriers and Behaviors to Reporting Medication Errors in Hospitals of Lorestan University of Medical Sciences, Iran. 2012.
16. Mirzaei M, Khatony A, Faramani RS, Sepahvand E. Prevalence, Types of Medication errors and Barriers to Reporting Errors by Nurses in an Educational Hospital in Kermanshah. Hayat. 2013;19(3).
17. Nourabadi A NA, Mohammad Nejad A, Salari A E-K A. Investigating the Occurrence of Nurses' Pharmaceutical Mistakes in the Intensive Care Unit. Mazandaran University of Medical Sciences. 2011;21(1):115-9.
18. M Y JA, M M, Sarkhakhsp. Investigating the Rate and Factors Affecting Nurses' Pharmaceutical Errors in Different Work Shifts in Internal and Surgical Wards of Educational Hospitals Affiliated to Shahid Beheshti University of Medical Sciences in Tehran 1391. Journal of Nursing and Midwifery Faculty. 2012;24(86):27-34.
19. N N G. Causes of Mistakes in Nurses' Views. Nursing Magazine. 2008;4(22).
20. Lawton R, Parker D. Barriers to incident reporting in a healthcare system. Qual Saf Health Care. 2002;11(1):15-8. PMID: 12078362 [PubMed]
21. Ito H, Yamazumi S. Common types of medication errors on long-term psychiatric care units. Int J Qual Health Care. 2003;15(3):207-12. PMID: 12803348 [PubMed]


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